• 제목/요약/키워드: Thyroid hormones

검색결과 136건 처리시간 0.027초

자가면역성 갑상선염환자의 갑상선기능 검사소견 (An Evaluation on the Thyroid Function Tests of the Patients with Autoimmune Thyroiditis)

  • 임재양;이재태;이규보
    • 대한핵의학회지
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    • 제28권3호
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    • pp.343-349
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    • 1994
  • 연구배경 : 자가면역성 갑상선염에서는 갑상선기능 상태가 일정하지가 않고 저하상태, 정상 또는 항진상태로 나타나기도 하며 또한 경과에 따라서 달라지기도 하는데, 갑상선기능검사소견에 있어서나 자가항체의 발현에 있어서도 다양한 소견을 나타내고 있다 이에 저자들은 자가면역상태의 발현 상태와 갑상선 기능상태의 상관성을 규명하고자 본 연구를 시도하였다. 방법 : 자가면역성 갑상선염 161예를 대상으로 치료제를 투여하기 전에 핵의학적 갑상선기능 검사 및 자가면역항체를 검사하여 상호의 결과를 대조비교 분석하였다. 결과 : 161예는 모두 여자였으며 평균 연령은 33세였고, 20대와 30대에 많았으며, 연령이 최소 10세에서 최고 73세까지였다. 방사성옥소 갑상선섭취율은 6시간치가 평균 $30.90{\pm}21.80(mean{\pm}SD)%$, 24시간치가 $37.97{\pm}23.25%$ 였으며, 혈청 T3치는 $1.41{\pm}0.48ng/m1$, T4는 $7.26{\pm}3.23ug/d1$, TSH치는 $17.99{\pm}30.72uIU/m1$, FT4치는 $1.11{\pm}0.66ng/dl$이었다. 항thyroglobulin항체는 $24.43{\pm}31.91U/m1$이었고, 항microsome항체는 평균 $55.32{\pm}41.97U/ml$이었다. 방사성옥소 갑상선섭취율은 혈청 갑상선호르몬치와는 유의한 음의 상관관계를 나타내었고, 혈청 TSH치와는 유의한 양의 상관성을 보였다. 혈청 갑상선호르몬치와 TSH치와는 유의한 음의 상관성이 저명하였다. 방사성옥소 갑상선섭취율과 혈청 free T4는 각각 연령에 역비례하여 감소하는 경향이 있었다. 항micro-some항체는 혈청 TSH와 양의 상관성이 있었다(p<0.001). 임상적소견에서 갑상선기능항진증이 3예(1.9%), 갑상선기능저하증이 24예 (14.9%)였으며, 갑상선기능이 정상으로 유지된 예가 134예(83.2%)였다. 갑상선기능에 이상이 있는 예에서는 자가항체가 상승된 예는 더 많았다. 결론 :자가면역성 갑상선염의 초진시에 갑상선기능항진 1.9%, 갑상선기능저하 14.9%였으며, 83.2%에서는 임상적으로 정상 갑상선기능의 소견을 나타내었다. 전체적으로 보아서 방사성옥소 갑상선섭취율은 약간 증가하였고, 혈청 갑상선호르몬은 정상 범위에 있는 경향이 있었고, 혈청 TSH치는 증가하는 경향이 있었다. 혈청 thyroglobulin치, 항thyroglobulin항체, 및 항microsome항체의 출현 빈도는 기능장애가 있는 예에서 많았고, 항microsome항체는 혈청 TSH치와 다소의 상관성이 있었다.

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하고초추출물의 갑상선기능항진증 랫트모델에서의 한열조절작용에 의한 개선효능 연구 (Effects of Prunellae Spica Extract on LT4-induced Hyperthyroidism in Rats through the Regulation of Heat and Cold Imbalance)

  • 강안나;강석용;맹상용;마준남;박종훈;박용기
    • 대한본초학회지
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    • 제33권4호
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    • pp.77-85
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    • 2018
  • Objective : This study was intended to examine the effects of water extract of Prunellae Spica (PS), which is a herb with 'cold' nature based on hot and cold theory of traditional Korean medicine. Methods : Hyperthyroidism was induced in SD rats by LT4 (0.5 mg/kg, i.p.) daily for four weeks. After 2 weeks of LT4 injection, rats were divided randomly into four groups; normal, LT4-induced hyperthyroid control, PS extract (500 mg/kg, p.o.)-treated group, and propylthiouracil (PTU, 10 mg/kg, s.c.)-treated positive group. After 2 weeks of drug treatment, all rats were sacrificed and harvested blood samples and thyroid tissues. The changes of body weight, food and water intake, and body temperature were measured weekly. Serological markers were analyzed in sera using an enzyme-based assay, and thyroid tissues were stained with Hematoxylin & Eosin (H&E). Brain and dorsal root ganglion (DRG) tissues were isolated and analyzed the expression of transient receptor potential (TRP) channels by Western blot. Results : PS extract administration attenuated the loss of body weight and the increase of body temperature in LT4-induced hyperthyroidism rats. PS extract increased the level of thyroid stimulating hormone (TSH) and decreased tiiodothyronine (T3) and tetraiodothyronine (T4). In action mechanism, PS extract regulated the expression of transient receptor potential channel subfamily V member 1 (TRPV1) and transient Receptor Potential channel subfamily M member 8 (TRPM8), the thermoregulators. Conclusion : To conclude, PS extract can improve the symptoms of hyperthyroidism through regulation of the thyroid hormones imbalance and thermoregulation via TRP channels.

부자(附子)가 6-propyl-2-thiouracil(PTU)로 유발된 rat의 갑상선 기능저하증에 미치는 영향 (The Effects of Aconiti Radix on Thyroid Function in Hypothyroidism Rat Model Induced by 6-propyl-2-thiouracil(PTU).)

  • 이상헌;이병철;안영민;두호경;안세영
    • 대한한방내과학회지
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    • 제28권2호
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    • pp.275-283
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    • 2007
  • Objective : Although hypothyroidism is a common disease in the endocrinology system, it is reported that there are a lot of difficulties in treating it effectively. Aconiti Ra얕 traditionally has been used in treatment of coldness, fatigue, and bradycardia. In this study, we investigated the therapeutic effects of Aconiti Radix on hypothyroidism rat model induced by 6-propyl-2-thiouracil (PTU). Methods : Two-month-old rats were used with administration of PTU which induced hypothyroidism in the rats. After 2 weeks, Aconiti Radix and thyroxine were administered, respectively. The body weights were measured every week. After 4 weeks, the blood samples of all rats were taken from their hearts. They were analyzed biochemically and $T_4$ (thyroid hormone) & TSH (thyroid stimulating hormone) was measured by ELISA kits. Results : In comparison with normals, controls showed hypothyroidism with significantly low $T_4$ and high TSH the statistics. In Aconiti Radix administration groups significantly increased $T_4$ was observed in the statistics and its effects were dose-dependent. There was no difference statistically in TSH of Aconiti Radix treatment groups from controls, nor were statistical differences observed significantly in biochemical labs and weight of each group. Conclusions : These findings suggest that Aconiti Radix protects thyroid cells and makes thyroid cells produce thyroid hormones. It is also very safe in the view of liver, kidney function, and other metabolism. It may be a useful agent for treating hypothyroidism.

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지방세포 대사에 미치는 주요호르몬들의 작용 (Major Hormonal Regulations in Obesity and Fat Distribution)

  • 김호준
    • 한방비만학회지
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    • 제1권1호
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    • pp.1-11
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    • 2001
  • Obesity is a metabolic disease associated with multiple hormonal abnormalities. Therefore, obesity management aims at balancing these endocrine malfunctions nowadays. Although many studies proved interactions of hormones related with obesity, there are still lots of controversies. Most of these malfunctions are more pronounced in central, visceral obesity than in peripheral obesity. Recently, it is revealed that a central lesion of endocrine malfunction in human visceral obesity is probably related with a hypersensitivity of hypothalamopituitary-adrenal(HPA) axis. Probably associated with this axis, Insulin and cortisol promote lipid accumulation by expressing lipoprotein lipase activity, while sex hormones and growth hormone exert the opposite effects. Also reviewed was thyroid hormone which is closely related with thermogenesis. Serotonin is prescribed as antidepressant and it is applied to some eating disorders. Recently, leptin made in fat deposit also took attentions in terms of regulator of appetite and messenger of sex signal.

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Construction and Validation of Human cDNA Microarray for Estimation of Endocrine Disrupting Chemicals (KISTCHIP-400 ver. 1.0)

  • Ryu, Jae-Chun;Kim, Youn-Jung
    • Molecular & Cellular Toxicology
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    • 제1권1호
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    • pp.52-61
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    • 2005
  • Transcript profiling is a particularly valuable tool in the field of steroid receptor biology, as these receptors are ligand-activated transcription factors and therefore exert their initial effects through altering gene expression in responsive cells. Also, an awareness of endocrine disrupting chemicals (EDCs) and their potential screening methods to identify endocrine activity have been increased. Here we developed an in-house cDNA microarray, named KISTCHIP-400 ver. 1.0, with 416 clones, based on public database and research papers. These clones contained estrogen, androgen, thyroid hormone & receptors, sex hormone signal transduction & regulation, c-fos, c-myc, ps2 gene, metabolism related genes etc. Also, to validate the KISTCHIP-400 ver. 1.0, we investigated gene expression profiles with reference hormones, $10^{8}\;M\;17{\beta}-estradiol,\;10^{-7}\;M\;testosterone\;and\;10^{-7}\;M$ progesterone in MCF-7 cell line. As the results, gene expression profiles of three reference hormones were distinguished from each other with significant and identified 33 $17{\beta}-estradiol$ responsive genes. This study is in first step of validation for KISTCHIP-400 ver. 1.0, as following step transcriptional profile analysis on not only low concentrations of EDCs but suspected EDCs using KISTCHIP-400 ver. 1.0 is processing. Our results indicate that the developed microarray may be a useful laboratory tool for screening EDCs and elucidating endocrine disrupting mechanism.

먹이제한과 단기 수온하강 조건에서 넙치의 스트레스 반응과 생리학적 대사활성 변화 (Changes of Stress Response and Physiological Metabolic Activity of Flounder, Paralichthys olivaceus Following to Food Deprivation and Slow Temperature Descending)

  • 명정인;강덕영;김효찬;이정호;노재구;김현철
    • 한국어류학회지
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    • 제23권2호
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    • pp.87-94
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    • 2011
  • 본 연구는 통상적으로 활어 수송을 위해 사용되는 수온 $15{\pm}2^{\circ}C$ 범위에서 단기 수온 강하와 단기간 먹이제한을 했을 때 넙치의 스트레스 반응과 생리상태를 혈중 생화학 인자와 4종류의 갑상선호르몬의 변화를 통해 파악하고, 이 결과들을 바탕으로 어류의 스트레스 및 생리활성 지표로서 분석 인자들의 효용성을 검토하고자 하였다. 먹이제한 실험은 1년생 넙치 양성어(전장 $32.9{\pm}1.2$ cm, 체중 $348.0{\pm}34.7$ g)를 이용해 8일간 실시하였고, 수온변화 실험은 1년생 양성어(전장 $32.7{\pm}1.2$ cm, 체중 $327.1{\pm}33.6$ g)를 이용해 8일간 수온을 $15.8^{\circ}C$에서 $13.3^{\circ}C$로 하강시키며 실시하였다. 혈중 생화학적 분석 인자는 ALT, AST, TP, GLU, 전해질($Na^+$, $K^+$, $Cl^-$), thyroid hormones (total $T_3$ & $T_4$ free $T_3$ & $T_4$)의 혈중 변화로 이루어졌다. 먹이섭식 제한 결과, AST, ALT 및 전해질에서는 절식기간 동안 어떠한 유의한 변화를 찾아볼 수 없었지만, TP와 GLU는 유의하게 감소하는 경향을 보였다. 갑상선호르몬 농도의 경우, 조사된 4종류 모두 절식기간이 길어지면서 감소하는 경향이 있었으며, 통계적으로 $FT_4$$TT_3$가 개시에 비해 실험 종료시 유의하게 감소하였다. 수온하강 실험의 경우, AST, ALT, TP 및 전해질 및 갑상선호르몬 농도에서 유의한 변화는 없었으나, GLU에서는 온도하강에 따른 농도 감소가 관찰되었다(P<0.05).

월동기 저수온 충격에 따른 양식산 가숭어 Mugil haematocheilus의 생리생화학적 반응 (Effect of Cold Shock on the Physiological Responses of the Cultured mullet, Mugil haematocheilus in Winter)

  • 강덕영;강희웅;김규희;조기채;김효찬
    • 한국수산과학회지
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    • 제40권4호
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    • pp.226-233
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    • 2007
  • Physiological responses of mullet Mugil haematocheilus to cold shock in winter were investigated. The experimental mullets were initially acclimated at $10.0^{\circ}C$ and then the water temperature was reduced to $-1.2^{\circ}C$ for cold shock experiment. The stress responses was monitored for nearly 50 hours. The parameters monitored include survival rate, plasma alanine aminotransferase (ALT), aspartate aminotransferase (AST), glucose (GLU), total protein (TP), electrolytes $(Na^+,\;K^+,\;Cl^-)$, cortisol and thyroid hormones $(TT_4,\;TT_3,\;FT_4\;and\;FT_3)$. With the exception of the TP and electrolytes, most parameters changed significantly during the cold shock. The survival rate did not change from $10^{\circ}C\;to\;-0.6^{\circ}C$, but decreased significantly below $-1.0^{\circ}C$, and was zero at $-1.2^{\circ}C$. The plasma AST and ALT concentrations increased remarkably from $2.5^{\circ}C\;to\;0.5^{\circ}C$ and from $2.5^{\circ}C\;to\;1.5^{\circ}C$, respectively, and then declined rapidly as the temperature decreased to $-1.2^{\circ}C$. The plasma GLU concentration did not change until -0.5'E, and then the concentration increased significantly at $-1.2^{\circ}C$. The plasma cortisol concentration increased remarkably from $2.5^{\circ}C\;to\;-0.5^{\circ}C$, and then declined at $-1.2^{\circ}C$. The plasma thyroid hormones showed two changes during the cold shock. Both plasma 74 concentrations increased remarkably from $2.5^{\circ}C$\;to\;0.5^{\circ}C$, then declined rapidly until $-1.2^{\circ}C$, while both plasma 73 concentrations decreased significantly from $10^{\circ}C\;to\;2.5^{\circ}C$, and then remained significantly lower than the concentration at $10^{\circ}C$.

각종(各種) 갑상선질환(甲狀腺疾患)에서의 혈중(血中) $T_3$방사면역측정(放射免疫測定)의 진단적(診斷的) 의의(意義) (The Clinical Significance of Serum Triiodothyronine Measured by Radioimmunoassay in Various Thyroid Diseases)

  • 이현우;고창순;이문호
    • 대한핵의학회지
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    • 제9권1호
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    • pp.31-43
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    • 1975
  • In an attempt to establish the diagnostic value of serum triiodothyronine and to correlate it with pathophysiologic mechanisms of thyroid hormones in various thyroid disorders, the author measured the serum triiodothyronine levels by means of radioimmunoassay and compared them with other thyroid function tests. This study was carried out in 152 cases with various thyroid functions; 28 cases as control, 51 cases of hyperthyroidism, 50 cases of euthyroidism and 23 cases of hypothyroidism. The results obtained were as follows: 1. The serum $T_3$ level in normal control group ranged between $131{\pm}34ng/dl$. 2. The serum $T_3$ levels ranged between $306{\pm}97ng/dl$ in hyperthyroidism $138{\pm}32ng/dl$ in euthyroidism and $60{\pm}27ng/dl$ in hypothyroidism. The significant differences between these groups were noted in this study. 3. In 5(9.9%) out of 51 cases with hyperthyoidism and 9(39.1%) of 23 cases with hypothyroidism, the serum $T_3$ were measured to be in normal range. Accordingly, the diagnostic value of the measurement of serum $T_3$ with hyperthyroidism was justifiable, but with hypothyroidism, it was less creditable than that of serum thyrotropin. 4. There was little significant difference between the diagnostic value of serum thyroxine and triiodthyronine levels in various thyroid disorders. However, $T_4/T_3$ ratio was decreased in patients with untreated hyperthyroidism because of more elevation of $T_3\;than\;T_4$. Consequently, the serum $T_3$ was more sensitive than $T_3$ in some thyroid disorders. 5. The serum $T_3$ level was much more sensitive and showed prompt shift in its level during the course of treatment on the patient with various thyroid disorders. And the measurement of serum $T_3$ was a good index for the evaluation of the thyroid function. From these results obtained, the measurement of serum $T_3$ by means of radioimmunoassay is a good way to understand the status of thyroid function with various thyroid disorders and evaluate the effects of the treatment given on these patients.

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Effect of Thyroid hormone on Lipogenesis in Rat White and Brown Adipocytes Culture System

  • Kim, Yangha -Moon
    • Preventive Nutrition and Food Science
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    • 제3권4호
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    • pp.362-367
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    • 1998
  • Thyroid hormone(T3) stimulates hepatic lipogenesis by increasing expression of genes, indluding acetyl-CoA carboxylase and fatty acid synthase. S14 protein, which is thougth to be involved in lipid metabolism , appears to respond in parallel . Effect of T3 on lipogenesis in white and brown adipose tissue are less clear, and may be complicated by indirect effects of the hormone. We developed an adipocytes system where the indirect effects of thyroid hormone are abolished and direct effects of T3 on lipogenesis could be tested. Fat accumulation was mesured by Oil-Red O staining. Insulin clearly enhanced fat accumulation by 2-fold . Isobutylemethylxanthie(IBMX) apeared to inhibit insulin -stimulated fat accumulation. Dexamethasone increased insulin-stimulatedfat accumulation about 1.3-fold. confluent adipocytes were cultured in serum-free medium or medium containing 10% fetal calf serum or 10% fetal calf serum stripped of thyroid hormone and lipogenesis, assessed by the incorporation of 3H2O , was measured. Medium without serum or supplemented with T3-depleted serum did not amplify the stimulatory effect of T3 on lipogenesis compared to medium containing 10% fetal calf seru. Dexamethasone alone led to a decrease inlopogenesis of about 50 % in white adipocytes and 25% in brown adipocytes. However, dexamethasone amplified the lipogenic respnse to T3 by about 30% in whit eadipocytes and 60% in brown adipocytes. T3(1$\mu$M) stimulated lipogenesis and acetyl-CoA carboxylase and fatty acid syntase mRNA levels up to 2 -fold in both types of adipocytes. It seems that these adipocytes systems are as useful model to study the effects of hormones on lipogenic gene expression as well as lipogenesis.

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Metastatic papillary thyroid cancers with malignant pleural effusion aggravated during thyroid hormone withdrawal for radioiodine therapy

  • Seo, Ji Hye;Je, Ji Hye;Lee, Hyun Jung;Na, Young Ju;Jeong, Il Woo;An, Jee Hyun;Kim, Sin Gon;Choi, Dong Seop;Kim, Nam Hoon
    • Journal of Yeungnam Medical Science
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    • 제32권2호
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    • pp.138-142
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    • 2015
  • L-thyroxine (LT4) withdrawal prior to radioactive iodine (RAI) ablation therapy is a commonly used method for successful treatment of patients with papillary thyroid cancer (PTC). However, a prolonged period of hypothyroidism induced by LT4 withdrawal is sometimes associated with impaired quality of life and cardiopulmonary dysfunction in PTC patients. Furthermore, LT4 withdrawal may have a trophic effect on residual cancer by means of increased thyrotropin. We report on 2 cases of metastatic PTC patients with malignant pleural effusion (MPE) whose disease showed rapid worsening after LT4 withdrawal and RAI therapy. The first case is a 65-year-old woman who had PTC with multiple distant metastases and MPE. During LT4 withdrawal for RAI therapy, MPE showed rapid worsening, and the patient required repetitive therapeutic thoracentesis. The second case is a 49-year-old woman with PTC who underwent 3 additional operations for cancer recurrence in the neck lymph nodes and 6 times of RAI treatments. While preparing for the $7^{th}$ RAI treatment by withdrawing LT4, she developed MPE which became progressively aggravated after RAI therapy. Both patients experienced increased pleural effusion during the LT4 withdrawal period and a rise in the thyroglobulin level was observed after RAI therapy. MPE was not controlled with therapeutic thoracentesis and pleurodesis. Eventually, both patients died of rapid disease progression after RAI therapy. In summary, LT4 withdrawal may have an adverse effect on metastatic PTC patients, particularly those with MPE.